Salt restriction continues to be suggested in current clinical practice guidelines. While it is useful for the management of hypertension, restriction may be too severe and hazardous for chronic kidney disease (CKD) patients, particularly older patients. Habitual salt intake is different in individuals and influenced by socio-economic conditions, CKD stage, primary renal disease, and co-morbid conditions. Currently, team-based care is recommended with adjustments for individuals. Kaizen, i.e., to begin with one small step, is the best strategy to improve the quality of life of CKD patients. Managing salt intake plays an important role in maintaining adequate nutritional status.
Kunitoshi Iseki (Wed,) studied this question.